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Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. | PSNet

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June 24, 2020 - Commentary Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. Citation Text: Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA.…

Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. | PSNet

psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons

January 10, 2018 - Review Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. Citation Text: Collins SJ, Newhouse R, Porter J, et al. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying …

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet

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May 01, 2019 - Study Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Citation Text: Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…

The uptake of technologies designed to influence medication safety in Canadian hospitals. | PSNet

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March 10, 2021 - Study The uptake of technologies designed to influence medication safety in Canadian hospitals. Citation Text: Saginur M, Graham ID, Forster AJ, et al. The uptake of technologies designed to influence medication safety in Canadian hospitals. J Eval Clin Pract. 2008;14(1):27-35. doi:10.…

Care at the point of impact: insights into the second-victim experience. | PSNet

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January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. | PSNet

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December 14, 2016 - Study Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. Citation Text: Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident competency in l…

Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. | PSNet

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July 01, 2016 - Study Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Citation Text: Aboumatar HJ, Thompson DA, Wu AW, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowl…

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

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September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

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December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet

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January 30, 2019 - Newspaper/Magazine Article A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. Citation Text: Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…

Transfers of patient care between house staff on internal medicine wards: a national survey. | PSNet

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August 15, 2018 - Study Transfers of patient care between house staff on internal medicine wards: a national survey. Citation Text: Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. …

Inappropriate drug use in the elderly: a nationwide register-based study. | PSNet

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July 09, 2008 - Study Inappropriate drug use in the elderly: a nationwide register-based study. Citation Text: Johnell K, Fastbom J, Rosén M, et al. Inappropriate drug use in the elderly: a nationwide register-based study. Ann Pharmacother. 2007;41(7):1243-8. Copy Citation Format: Google…

Handover after pediatric heart surgery: a simple tool improves information exchange. | PSNet

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July 03, 2016 - Study Handover after pediatric heart surgery: a simple tool improves information exchange. Citation Text: Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

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March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

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October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Multidose drug dispensing and discrepancies between medication records. | PSNet

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November 06, 2013 - Study Multidose drug dispensing and discrepancies between medication records. Citation Text: Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. Copy Citati…

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. | PSNet

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October 04, 2011 - Commentary Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. Citation Text: Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…

Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance

May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. | PSNet

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November 15, 2018 - Commentary Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. Citation Text: Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…

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